Provider Demographics
NPI:1942400296
Name:MURPHY'S ORTHOPEDICS & FOOT CARE
Entity Type:Organization
Organization Name:MURPHY'S ORTHOPEDICS & FOOT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:C PED
Authorized Official - Phone:615-895-5652
Mailing Address - Street 1:1238 NW BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-1713
Mailing Address - Country:US
Mailing Address - Phone:615-895-5652
Mailing Address - Fax:615-895-5653
Practice Address - Street 1:1238 NW BROAD ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1713
Practice Address - Country:US
Practice Address - Phone:615-895-5652
Practice Address - Fax:615-895-5653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-24
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNNA332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5977200001Medicare NSC